c. Explain the procedure to the patient. This procedure may be embarrassing to
the patient and cause him some anxiety. It is, therefore, very important to explain to the
patient what you are going to do. Tell the patient that the procedure will not be painful
but that he will feel pressure as the catheter is inserted.
d. Provide for the patient's privacy. Provide privacy by drawing curtains around
an area or closing a hall door.
e. Wash your hands.
f. Do these pre-performance steps.
(1) Move the patient to the side of the bed nearest you. Raise the bed to
working height to avoid back strain while you are working. Lower the side rail, if
necessary, on the side where you are working.
(2) Position the patient. Help the patient into the dorsal recumbent position
(patient on his back with his lower limbs flexed and rotated outward).
Insertion technique for an indwelling catheter.
(a) Remove the drainage system from the bag.
(b) Attach the bag to the bed frame.
Bring the end of the drainage tubing up between the side rail and
(d) Place the end of the drainage tubing so that it is convenient to
reach and won't fall off the mattress during the procedure.
These steps are not performed when a commercial pack is used.
Open the sterile catheter tray.
Don sterile gloves.
Pick up the plastic-coated drape.
(7) Grasping the drape at the top (with the plastic side away from you), fold
the of the drape over your gloved hands to make a cuff.
(8) Place the drape, with the plastic side down, on the bed between the
patient's legs. Slip the cuffed edge under the patient's buttocks. Pull your hands out.